Which complication is most commonly associated with paracentesis for ascites?
Hemorrhage
Pulmonary embolism
Renal failure
Peritonitis
The Correct Answer is D
Rationale:
A. While bleeding is a potential risk of paracentesis, it is less common than infection.
B. This is not a typical complication of paracentesis.
C. Although large-volume paracentesis can occasionally affect kidney perfusion, renal failure is not the most common complication.
D. Infection of the peritoneal cavity (spontaneous bacterial peritonitis) is the most common and serious complication associated with paracentesis. Proper aseptic technique is essential to minimize this risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Hypertonic solutions, like TPN with 25% dextrose, can irritate peripheral veins and cause phlebitis. Administering them through a central line allows rapid dilution in a large volume of blood, reducing vein irritation and promoting safe infusion.
B. Blood glucose monitoring is not dependent on the line type; it is done via peripheral blood samples.
C. The infusion rate is determined by the prescribed therapy, not by whether a central line is used.
D. Central lines do not decrease the risk of infection; in fact, they carry a higher risk of central line–associated bloodstream infections compared with peripheral lines.
Correct Answer is A
Explanation
Rationale:
A. Hematemesis (vomiting blood) indicates active gastrointestinal bleeding, which can lead to hypovolemic shock and is a life-threatening complication of peptic ulcer disease. It is therefore the priority assessment finding.
B. Dyspepsia (indigestion) is a common symptom of peptic ulcer disease but is not immediately life-threatening.
C. Epigastric discomfort is a typical symptom but is less urgent compared to active bleeding.
D. Constipation is a non-specific gastrointestinal symptom and does not pose an immediate threat in peptic ulcer disease.
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